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FOCUS Facilitator Training


First Name*
Last Name*
Title/Role in Mobilization*
Agency Name*
Address Line 1*
Address Line 2
City*
State/Province*
Zip/Postal Code*
Phone*
E-mail*
Confirm e-mail*
Choose the location and date you wish to attend.
Sessions will run only if there is sufficient interest.


Mon-Tues, Feb 13-14, 2012 / Charlotte, NC
Cost
$369 for those using FOCUS with multiple churches
$295 for those using FOCUS with their own church only
$55 spouse, if couple work together
Register 5 facilitators, 6th person is free

See next page for payment options. Registration will not be finalized until payment is received.